Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,701.00	Facility		$1,820.00	$6,880.00	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,417.00 / $18,049.00	Facility		$3,765.00	$8,417.00	$18,049.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,646.91	Facility		$64.40	$100.00	$7,646.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $20,814.00 / $25,978.00	Facility		$2,277.00	$20,814.00	$25,978.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $675.72 / $1,022.57 / $2,245.56	Professional		$675.72	$1,022.57	$2,245.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,450.39 / $2,037.69 / $3,706.54	Professional		$1,450.39	$2,037.69	$3,706.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,964.56 / $20,372.77	Facility		$55.00	$19,964.56	$20,372.77
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $310.74 / $730.11 / $789.44	Facility	AS	$310.74	$730.11	$789.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,646.49 / $2,052.19 / $3,060.00	Facility		$1,646.49	$2,052.19	$3,060.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $605.78 / $605.78 / $605.78	Facility	80	$605.78	$605.78	$605.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $178.36 / $178.36 / $514.91	Facility	AS	$178.36	$178.36	$514.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $15,471.00	Facility		$3,610.00	$7,384.00	$15,471.00